Individual
MARITZA CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 RABBIT TRL, LAKE JACKSON, TX 77566-3729
(979) 292-6783
Mailing address
914 W 9TH ST, FREEPORT, TX 77541-5446
(979) 292-6783
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
TX
Other
Enumeration date
04/22/2020
Last updated
04/23/2020
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